OT Assistant Salary

Knoxville vs Smyrna: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Knoxville, TN and Smyrna, TN. All figures are 2026 estimates projected from BLS 2025 data.

Knoxville, TN
$61,614
$29.62/hr
Smyrna, TN
$66,519
$31.98/hr

Side-by-Side Comparison

MetricKnoxville, TNSmyrna, TN
Median Salary$61,614$66,519
Hourly Rate$29.62$31.98
Entry Level (P10)$24,582$47,190
25th Percentile$24,582$56,140
75th Percentile$64,781$73,434
Top Earner (P90)$76,933$80,350
Total Employed21012
Side-by-side bar chart comparing Knoxville ($61,614) and Smyrna ($66,519) occupational therapy assistant salaries.KnoxvilleSmyrnaMedian Salary$61,614$66,519Entry Level (P10)$24,582$47,190Top Earner (P90)$76,933$80,350US Median $74,332

Verdict

Smyrna, TN offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Knoxville.

The salary gap between Knoxville and Smyrna is $4,905 (7.96%). Smyrna's median is -10.51% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Knoxville spans $52,351,Smyrna spans $33,160. Knoxville has a wider pay range, meaning more potential for high earners but also more variation.

Knoxville
P10 (Entry)$24,582
P25$24,582
Median$61,614
P75$64,781
P90 (Top)$76,933
Smyrna
P10 (Entry)$47,190
P25$56,140
Median$66,519
P75$73,434
P90 (Top)$80,350

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Smyrna ($72,461 effective) pays 8.87% more than Knoxville ($66,560 effective).

Knoxville
Nominal: $61,614
CoL Index: 92.569
Adjusted: $66,560
Smyrna
Nominal: $66,519
CoL Index: 91.8
Adjusted: $72,461

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Knoxville if…

  • Larger job market (210 employed)
  • You prefer the Tennessee area and lifestyle

Choose Smyrna if…

  • Higher median salary ($66,519/year)
  • Better top-earner potential ($80,350)
  • Better purchasing power (CoL-adjusted: $72,461)
  • You prefer the Tennessee area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Knoxville grew -2.0% from 2019 to 2025, compared to 5.6% growth in Smyrna over the same period.

Knoxville, TN

+-2.0%

$61,140 (2019) → $59,930 (2025)

Smyrna, TN

+5.6%

$61,242 (2024) → $64,701 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Knoxville or Smyrna?

Smyrna has a higher median occupational therapy assistant salary at $66,519/year, compared to Knoxville at $61,614/year — a difference of $4,905 (7.96%).

What is the hourly rate difference between Knoxville and Smyrna?

Knoxville occupational therapy assistants earn $29.62/hr while Smyrna hygienists earn $31.98/hr (2026 est.).

Should I relocate from Knoxville to Smyrna as a occupational therapy assistant?

Consider more than just salary when comparing Knoxville and Smyrna. Factor in cost of living (CoL-adjusted: Knoxville = $66,560, Smyrna = $72,461), job availability (210 vs 12 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Knoxville vs Smyrna?

Entry-level (10th percentile) occupational therapy assistants earn $24,582 in Knoxville and $47,190 in Smyrna. The Smyrna area offers higher starting salaries.

Related Comparisons

JL

Written by Jordan Lee, MS, OTR/L

Career Analyst

Jordan Lee has 10 years of experience as an occupational therapist. Their specialty is working with children with developmental disorders. They have worked in various healthcare settings including schools and rehabilitation facilities.

Clinically reviewed by Maria Gonzalez, COTA/LData verified by Samuel Chen, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.81% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jordan Lee, MS, OTR/L, a licensed occupational therapy assistant with 10+ years of clinical experience. · View source data at BLS.gov